Kemmer (1993) argues that middle voice markers almost always arise diachronically through the semantic extension of a reflexive marker to other semantic uses related to reflexive. In this paper I will argue for an alternative diachronic path that has led to the development of the middle marker in Yurakaré (unclassified, Bolivia): through ideophone-verb constructions. Taking this perspective helps explain a number of synchronic peculiarities of the middle marker in Yurakaré, and it introduces a previously unnoticed channel for middle voice markers to arise.